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Cervical spondylitis, feeling of nerve compression causing shoulder, wrist pain, numbness in fingers, advised homeo, physiotherapy, massages. Suggestion?

I have cervical spondilitis - not acute confirmed by X- ray. I have full mobility in my arms and neck. But I have moderately severe pain in my right shoulder . Pain in right wrist and pain in my right forearms between shoulder and elbow . however the pain is more acute in the night and immediately on waking up. Numbness in my right fingers occurs freuently. I feel some nerve is getting compressed which causes this pain from right shoulder to wrist in varying degrees of intensity. Age 55y.Male. My BP is 126/84 . wt-64Kg. 6 . ECG and blood Reports normal. No Sugar.No History of anyCardiac problem. Otherwise Physically fit. Walk 2 kms daily. Suggestions made include Homeo, Physiotherapy , Ayurvedic Massages. Would be grateful if you could advise.Do not wish to undergo any further tests. Thanks very much Bala
Asked On : Mon, 10 Sep 2012
Answers:  2 Views:  101
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Internal Medicine Specialist 's  Response
Jan 2013
Thanks for posting your query.
You are definitely suffering from cervical spondylitis as mentioned symptoms.
Symptoms in cervical spondylitis occurs due to pressure on nerves.
You should consult with orthopedic surgeon and neurosurgeon .
You should take medicines for neuropathic pain such as pregabalin, gabapentin, oxcarbazepine, duolexetine.
You should also go for physiotherapy under expert guidance.
If your condition won't improve then you should go for minor surgery for relieve of pressure on nerves.
Take care,
Dr. Mayank Bhargava
Answered: Mon, 10 Sep 2012
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General & Family Physician Dr. Kulbir Singh's  Response
Hello Bala and thanks for the query
Now a days cervical spondylosis is very common problem. Many peoples are suffering with this problem due to wrong posture and prolonged sitting habits. You need not to do any further investigations. You may get relief from these symptoms by taking some precautions:
1. Use hard bed, avoid pillow or use thin pillow.
2. Your sitting posture should be straight.
3. Avoid jerky movements of neck. Avoid riding bicycle or motorcycle.
4. You can take anti-inflammatory and muscle relaxants drugs orally or You can apply anti inflammatory and muscle relaxants gel locally.
5. You can wear collar if symptoms are worse.
6. Regularly change the posture of the neck while working or sitting.
7. Do regular exercise as advised by your physiotherapist.
wishing you a good health.
Answered: Mon, 10 Sep 2012
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